| NPI | 1376969410 |
|---|---|
| Doing Business As | SUNDANCE GEORGIA REHABILITATION AGENCY |
| Entity Type | Organization |
| Authorized Contact | LOUISE ANN SOIKA SVP 610-925-4088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2019-06-11 |